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Organization
PRISTINE DENTAL P.L.L.C
Active
Organization
PRISTINE DENTAL P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOUZAN KAZEMYAN D.D.S, P.A (PRINCIPAL OFFICER)
(713) 665-7707
Entity
Organization
Contact information
Practice address
9150 MAIN ST, SUITE I, HOUSTON, TX 77025-3843
(713) 665-7707
Mailing address
9150 MAIN ST, SUITE I, HOUSTON, TX 77025-3843
(713) 665-7707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23045
TX
Other
Enumeration date
10/21/2008
Last updated
01/17/2013
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